Active NPI
Bethbirei Johnson
- Social Worker
- Concord, CA
National Provider Identifier
1891490488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1430 Willow Pass Rd
Concord, CA 94520-7928 - Phone
- (925) 288-3900
- Fax
- (925) 646-5774
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 108657 | CA | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1430 Willow Pass Rd
Concord, CA 94520-7928
Mailing address
2505 Rachel CT
Antioch, CA 94531-8002
Phone (510) 990-1450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108657 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1891490488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 RACHEL CT",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318002",
"telephone_number": "510-990-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 WILLOW PASS RD",
"city": "CONCORD",
"state": "CA",
"postal_code": "945207928",
"telephone_number": "925-288-3900",
"fax_number": "925-646-5774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BETHBIREI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "108657",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.